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Volume 114, Issue 2, Pages (February 1998)

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Presentation on theme: "Volume 114, Issue 2, Pages (February 1998)"— Presentation transcript:

1 Volume 114, Issue 2, Pages 305-310 (February 1998)
Use of macroaggregated albumin lung perfusion scan to diagnose hepatopulmonary syndrome: A new approach  Gary A. Abrams, Navin C. Nanda, Eva V. Dubovsky, Michael J. Krowka, Michael B. Fallon  Gastroenterology  Volume 114, Issue 2, Pages (February 1998) DOI: /S (98) Copyright © 1998 American Gastroenterological Association Terms and Conditions

2 Fig. 1 (A) A normal MAA shunt fraction (2%) with regions of interest drawn around the posterior lungs and cerebrum. (B) An abnormal MAA shunt fraction (50%) showing radioactivity in the cerebrum. The range of radioactive intensity is low (red), moderate (yellow), and high (white). Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions

3 Fig. 2 The long line represents a normal shunt fraction value of ≤6%; short lines are mean values. P < for patients with HPS compared with cirrhotic patients without HPS and hypoxemic subjects with intrinsic lung disease as determined by Kruskal–Wallis nonparametric analysis of variance. CE, contrast echocardiogram. Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions

4 Fig. 3 Correlation of the MAA shunt fraction with (A) room air arterial oxygenation, (B) alveolar-arterial gradient, and (C) arterial PO2 while breathing 100% oxygen in 25 patients with HPS. Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions

5 Fig. 4 Diagnostic approach to HPS.
Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions


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